Posts for: August, 2021
By Dr. James DiResta, DPM, MPH
August 27, 2021
Category: Foot Conditions
Tags: Cavus foot
When babies are born they are born with flat feet. Typically the arches of the feet don’t develop until children are 3-4 years old; however, sometimes the arches of the feet develop higher than they should, which can cause the feet to flex. This is known as cavus foot and this problem typically occurs within the first 10 years of a child’s life. Since this condition can impact mobility you must see a podiatrist if this is something you think your child might be dealing with.
The Problem with Cavus Foot
Cavus foot needs to be addressed right away by a podiatrist, as this condition can lead to a variety of issues for your child. Cavus foot is more likely to lead to imbalances within the feet, which in turn can also impact the function of the ankle, legs, hips, and even lower back. Children and teens with cavus foot may be more likely to deal with aches, pains, and strains within the feet, ankles, legs, and hips. This condition can also lead to metatarsalgia, Achilles tendonitis, and chronic ankle sprains.
Causes of Cavus Foot
In many cases, a muscle or nerve disorder that impacts how the muscles function causes cavus foot. This leads to imbalances that cause the distinctive high arches of this condition. Of course, other conditions such as Charcot-Marie-Tooth disease, muscular dystrophy, and spina bifida can also increase the chances of developing cavus foot.
Treating Cavus Foot
You must be watching your little ones as they start to walk to see if you notice any differences in how they move. Catching these issues early offers your child the best chance at improved mobility and less risk for developing foot problems later on. Your podiatrist may work together with a neurologist to pinpoint whether a nerve disorder could be the underlying cause.
Once your foot specialist determines the root cause of your child’s cavus foot then they can map out a customized treatment plan. Milder cases may benefit from more conservative treatment options such as custom orthotics and arch supports; however, surgery is often necessary to correct this problem.
Any issues with mobility, particularly in children, should be addressed and assessed as quickly as possible. Turn to a podiatrist that also specializes in providing pediatric podiatry to children and teens, as they will be able to provide the most thorough treatment plan for your little one.
By Dr. James DiResta, DPM, MPH
August 17, 2021
Category: Foot Care
Tags: Morton’s Neuroma
Are you experiencing a sharp, burning pain between your toes that gets worse when walking or standing? Do you notice tingling or numbness in the toes, or pain and swelling on the soles of the feet? If so, you could be dealing with a condition known as Morton’s neuroma that causes thickening of the nerves between the toes. If you suspect that you might have Morton’s neuroma, a podiatrist will be the ideal doctor to turn to for treatment.
Are neuromas dangerous?
It’s important not to confuse a neuroma with Morton’s neuroma. A neuroma is a benign growth that develops on the nerves; however, Morton’s neuroma is not a growth; it’s simply inflammation and swelling of the tissue around the nerves that lie between the toes (often between the third and fourth toes).
What causes Morton’s neuroma?
Any kind of intense pressure or compression placed on these toes can lead to inflammation of the tissue around the nerves. Some people are more at risk for developing Morton’s neuroma. Risk factors include:
- Playing certain sports such as running or tennis, which puts pressure on the balls of the feet
- Wearing high heels with a heel that’s more than 2 inches tall
- Wearing narrow shoes or shoes with pointed toes
- Certain foot conditions such as bunions or hammertoes
- Flat feet or high arches (or other congenital foot problems)
What are the signs of Morton’s neuroma?
Since this condition involves inflamed tissue, you won’t notice a growth or bump in the area; however, you may simply experience pain that is gradual and minor at first and is alleviated by not wearing shoes. Symptoms often get worse with time and result in:
- Swelling between the toes
- A sharp burning pain between the toes that gets worse with activity
- Tingling or numbness in the foot
- Feeling like there is a pebble or stone in your shoe (often at the balls of the feet)
- Pain that’s intensified by standing on your tiptoes or wearing high heels or pointed-toe shoes
How is this foot problem treated?
Most people can alleviate their symptoms through simple lifestyle modifications including:
- Massaging your feet
- Shoe pads
- Custom shoe inserts (that a podiatrist can craft just for you)
- Supportive footwear that offers shock-absorption
- Non-steroid anti-inflammatory drugs
- Steroid injections
- Local anesthetic injections
Any persistent or severe foot pain or swelling, along with numbness or tingling, should be addressed right away by a podiatrist. There are many conditions, some serious, that can cause a lot of these same symptoms and a podiatrist will be able to provide an immediate and accurate diagnosis for your symptoms.